| Dr Syed Wakerul Moazzem, MD | |
|
110 E 13th St, Rushville, IN 46173-2126 | |
| (765) 932-7063 | |
| (765) 932-7065 |
| Full Name | Dr Syed Wakerul Moazzem |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 30 Years |
| Location | 110 E 13th St, Rushville, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972777415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01065525A (Indiana) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 01065525A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush Memorial Hospital | Rushville, IN | Hospital |
| Johnson Memorial Hospital | Franklin, IN | Hospital |
| Major Hospital | Shelbyville, IN | Hospital |
| Decatur County Memorial Hospital | Greensburg, IN | Hospital |
| Margaret Mary Community Hospital Inc | Batesville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ies Hsp Indiana Llc | 4486189040 | 15 |
| Central Indiana-amg Specialty Hospital, Llc | 5991960668 | 10 |
| Rush Memorial Hospital | 7012802754 | 56 |
| Entity Name | Hancock Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609806470 PECOS PAC ID: 8325952633 Enrollment ID: O20040130000777 |
| Entity Name | Rush Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497726020 PECOS PAC ID: 7012802754 Enrollment ID: O20040220000164 |
| Entity Name | Johnson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346248986 PECOS PAC ID: 8527972595 Enrollment ID: O20040316000585 |
| Entity Name | Hancock Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255418356 PECOS PAC ID: 1850205162 Enrollment ID: O20040401000258 |
| Entity Name | Central Indiana-amg Specialty Hospital, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962761379 PECOS PAC ID: 5991960668 Enrollment ID: O20130822000021 |
| Entity Name | Ies Hsp Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134954647 PECOS PAC ID: 4486189040 Enrollment ID: O20241120001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Syed Wakerul Moazzem, MD 1300 N Main St, Rushville, IN 46173-1198 Ph: (765) 932-4111 | Dr Syed Wakerul Moazzem, MD 110 E 13th St, Rushville, IN 46173-2126 Ph: (765) 932-7063 |
Denise K Thornberry, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 110 E 13th St, Rushville, IN 46173 Phone: 765-932-7591 Fax: 765-932-7505 | |
Russell Daugherty, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1300 N Main St, Rushville, IN 46173 Phone: 765-932-7439 Fax: 765-932-7410 | |
Marius Racovan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 110 E 13th St, Rushville, IN 46173 Phone: 765-932-7063 Fax: 765-932-7065 | |
Darrel R. Rinehart, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 201 Conrad Harcourt Way, Suite A, Rushville, IN 46173 Phone: 765-932-7591 Fax: 765-932-7576 |